Integrating Mobile Phones In Wearable Robots - Muthukumaran Thangaramanujam


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  • Dollar, A. M., & Herr, H. (2008). Lower extremity exoskeletons and active orthoses: Challenges and state-of-the-art. IEEE Transactions on Robotics : A Publication of the IEEE Robotics and Automation Society, 24(1), 144.
  • Pons, J., Moreno, J., Brunetti, F., & Rocon, E. Lower-limb wearable exoskeleton.
  • Integrating Mobile Phones In Wearable Robots - Muthukumaran Thangaramanujam

    1. 1. Integrating Mobile Phones in Wearable Robots; Physiological monitoring considerations for Rehabilitation Robotics <ul><li>Muthukumaran Thangaramanujam </li></ul><ul><li>Senior Physiotherapist </li></ul><ul><li>The Derg Centre, Nenagh </li></ul><ul><li>11.01.2011 </li></ul>
    2. 2. What do you think? <ul><li>Rehabilitation? </li></ul><ul><li>Robots? </li></ul><ul><li>What? </li></ul><ul><li>Why? </li></ul><ul><li>How? </li></ul><ul><li>Where? </li></ul>
    3. 3. What is Rehabilitation Robotics? <ul><li>Rehabilitation Robotics aims at the development of novel medical solutions for assisted motor therapy and functional assessment of patients with reduced motor and/or cognitive abilities in order to ultimately favor the best achievable functional recovery. </li></ul><ul><li>(The IEEE Robotics and Automation Society, 2010) </li></ul>
    4. 4. Evolution <ul><li>The field of Robotics in Rehabilitation Engineering officially started with the research into Powered Human Exoskeleton Devices in the 1960s. </li></ul><ul><li>The research into exoskeletons devices began with science groups in the United States and Yugoslavia, each with a different goal. </li></ul><ul><li>(Dollar and Herr, 2008) </li></ul>
    5. 5. Upper Limb – MIT Manus <ul><li>Robotic joystick guides the patient’s arm as he tries to move the handle toward a moving or stationary target shown on the monitor. </li></ul><ul><li>If the person starts moving in the wrong direction or does not move, the robotic arm gently nudges his arm in the right direction. </li></ul>
    6. 6. Robotic Treadmill Training <ul><li>Lokomat Indications </li></ul><ul><li>Spinal cord injury </li></ul><ul><li>Stroke </li></ul><ul><li>TBI </li></ul><ul><li>Multiple sclerosis </li></ul><ul><li>Cerebral Palsy </li></ul>
    7. 7. Armeo
    8. 8. Exoskeletons <ul><li>An exoskeleton is a wearable robot with joints and links corresponding to those of the human body (Pons, 2006) </li></ul><ul><li>US Department & General Electric developed HARDIMAN intended to allow the wearer to lift 1,500 lbs (Bogue, 2009) </li></ul>
    9. 9. Exoskeletons today <ul><li>REX – R obotic EX oskeleton </li></ul><ul><li>Rex is potentially suitable for manual wheelchair users who can self-transfer and operate hand controls. </li></ul><ul><li>potentially suitable for MS, post-polio syndrome as well as spinal lesions caused by accident or illness. (Rex Bionics, 2010) </li></ul>
    10. 10. Exoskeletons today <ul><li>Hybrid Assistive Limb – 5 Prof. Sankai, Tsukuba University, Japan </li></ul>
    11. 11. HAL 5
    12. 12. Other Wearable Robots
    13. 13. Need for Physiological Monitoring <ul><li>Some Robotic devices such as the Lokomat, ReoAmbulator increase cardiovascular activity during treatment due to Treadmill training. </li></ul>
    14. 14. Resuscitation Challenges <ul><li>Monitoring and controlling heart rate during exercise can be crucial for preventing overtraining and in providing an efficient training protocol to subjects.(Achten & Jeukendrup,2003) </li></ul><ul><li>The need for monitoring heart during Robotic assisted therapy has been acknowledged. </li></ul><ul><li>(Koenig et al. 2009) </li></ul><ul><li>No commercially available Rehabilitation Robot has an inbuilt Cardiac Monitoring Mechanism. </li></ul>
    15. 15. First Law of Robotics <ul><li>A robot may not injure a human being or, </li></ul><ul><li>through inaction, allow a human being to </li></ul><ul><li>come to harm. </li></ul><ul><li>(Asimov, 1942) </li></ul>
    16. 16. Mobile Phones?
    17. 17. Smart Phones?
    18. 18. Smart phone Apps & Tech <ul><li>Blood Pressure </li></ul><ul><li>Heart Rate </li></ul><ul><li>Basic EEG </li></ul><ul><li>GPS </li></ul><ul><li>Gyroscopes </li></ul><ul><li>Accelorometers </li></ul>
    19. 19. Robot-App; LEGO Mindroid
    20. 20. Toshiba mobile controlled
    21. 21. Clinical Hypothesis <ul><li>Initial stages of design of a wearable Rehabilitation Robot </li></ul><ul><li>Possibilities should be explored for physiological monitoring and transmission of the same to patient’s mobile phone or tablet device which acts as a monitoring console. </li></ul>
    22. 22. Clinical Hypothesis <ul><li>The mobilephone may be integrated in the robot or can be linked via a secure network to the robot. </li></ul><ul><li>The monitoring console should contain software that alerts the clinician in case of abnormal physiological activity. </li></ul>
    23. 23. Benefits <ul><li>This would enable the patient to carry out home exercise programmes </li></ul><ul><li>such as task, oriented practice by wearing a robot, </li></ul><ul><li>while their kinetic and physiological activity can be monitored by a Clinician at a remote location </li></ul>
    24. 24. The Brick has come a long way... <ul><li>? </li></ul>
    25. 25. Questions? <ul><li>“Muthu” </li></ul><ul><li>Muthukumaran Thangaramanujam Senior Physiotherapist </li></ul><ul><li>Nenagh Primary Care Team, HSE West, Nenagh General Hospital, Co. Tipperary </li></ul><ul><li>Email: </li></ul><ul><li>twitter: @rehabrobotics </li></ul>